Pre-registration of a learner

ANNULE_Toucher massage_niveau 2 - from November 26, 2020 to November 27, 2020

Vous pouvez préinscrire un stagiaire à la formation grâce à ce formulaire. Merci de rentrer un maximum d'informations pour simplifier le travail d'enregistrement. Vous pouvez laisser un message complémentaire dans la partie 'Notes libres'.

General information

Honorific

First name*

Last name* Email* Date of birth*

Nationality

City of birth

Postcode of place of birth

Address*

Postcode*

City*

Phone*

Language in the Learners' Portal

Status

Profession*

Other

Free notes*

Fields marked with * are mandatory.

The data collected in this form is processed by CEPFOR in order to manage your registration on the site. To find out more about the management of your personal data and to exercise your rights, we invite you to read our privacy policy